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Smackman, LAA closure systems will almost certainly be covered by insurance as the comparative e vetting process continues to show its advantage for a fair number of AFIB patients going forward. The most recent results from the latest and cumulative Watchman studies, improved Lariat experience the last two years and Amplatzer Amulet prospective studies from Eurooe, Canada and Asia/Austrailia/Nby Shannon - AFIBBERS FORUM
researcher Wrote: ------------------------------------------------------- > I don't look at your situation as being messed up at all. Being in NSR and not AF is a big benefit in terms of progression to heart failure and other potential health related issues. If you were still in AF, then blood thinners would be required for life as it is for my father in law. If you can't take theby Shannon - AFIBBERS FORUM
Thanks George, I'll forward this to Oliver as it is definitely a topic for him. Magdalena and I are in Las Vegas the last three days with two more to go where I am helping my friend and world renowned endocrinologist Dr Thierry Hertoghe at the annual A4M Congress with his presentations here while gather the latest installment that's in functional/integrative medicine to link on ourby Shannon - AFIBBERS FORUM
Welcome Kapnkeyz, I've been taking Magnesium daily for 15 years, and had been on Sotalol three different times during those 15 years for a total of 2.5 years, and never had an issue with the combination. Who told you it was contraindicated? Sotalol has a roughly 50% beta blocker component, but even with a high normal dose of Sotalol, most typical magnesium doses taken in the same day shouby Shannon - AFIBBERS FORUM
Hi Isabelle and welcome to our forum, Are you saying that you have been in long standing persistent AFIb for most of your years with AFIB? Please share with us how long you have been persistent (in 24/7 AFiB though previously with a lower more comfortable heart rate). In terms of reducing your current HR, an EP is likely to help out more than most Cardios, even if you have to drive or go byby Shannon - AFIBBERS FORUM
Hi Robert, Sorry to hear of your latest scary episode of the beast. How long have you had AFIB and what is your longest episode to-date? Also, I'm assuming you have made a dedicated effort at electrolyte repletion via the article in our AFIB Resources titled 'The Strategy-Metabolic Cardiology.', and if so how long have you been at it and what other life style risk reducing efforby Shannon - AFIBBERS FORUM
In Defense of Left Atrial Appendage Closure - Dr. Vivek Reddy (The above link, allows access to the article discussed below: In Defense of Left Atrial Appendage Closure by Dr Vivek Reddy, with only a simply free registration of your email address and username) Hi All, The above linked excellent article in Medscape by well-known and highly-regarded AFIB ablation EP and researcher Dr. Viveby Shannon - AFIBBERS FORUM
Kirk Once you decide on an ablation, the best place for AFIB Ablation in Canada is, as GeorgeN noted above, at Southlake Regional Health Center in Newmarket Ontario ... which fortunately, I assume, is the province you live so you should not have any trouble hooking up with Dr Atul Verma who is the EP I would chose were I needing an AFIB ablation in Canada. His Colleague Dr Khaykin is also veryby Shannon - AFIBBERS FORUM
Thanks George, A good deal for those with AFIB who may not have an AliveCor KARDIA device and iPhone/Android app. Highly recommended! Shannonby Shannon - AFIBBERS FORUM
Joyce, you are not going to die from a cardioversion! I've had 16 total and am still kicking the last years ago now. Staying in poorly controlled AFIB out of misplaced fear of an ECV will only lead to more structural remodeling which overtime most often leads to entrenched long standing persistent AFIB and a much harder nut to crack and restore durable NSR. This is especially true when you dby Shannon - AFIBBERS FORUM
Smackman, You should NOT stop taking any blood thinner without approval from your prescribing physician. And certainly not from anything you hear here. We are sharing good choices to for you to work out with your doctor. Aspirin is used for its platelet aggregation which can happen when metallic element are within the venous or arterial blood flow. But once endothelialized there should notby Shannon - AFIBBERS FORUM
Kirk, Its really is too bad your GP noted multiple AFIB events in 2012 when the Holter monitor caught only 1, in ;sight of the possible ramifications then on your commercial drivers license.. Yet now in 2016 since you really are experiencing more episodes, the best angle for you now is focusing on getting AFIB out of your life for the long haul which should really be every Afibbers prime goal.by Shannon - AFIBBERS FORUM
I seriously doubt the Eliquis is causing your nausea after over 6 months from starting last April and starting to experience some nausea only recently after so long in which is was fine with no symptoms. That is not the usual course for nausea caused by most medicines that have nausea as an association ... usually the nausea starts fairly early in the course of use or when ramping up dosage butby Shannon - AFIBBERS FORUM
Here's wishing a very Happy Thanksgiving weekend for each of you and your families! Indeed, among the many blessing in my life to give thanks for, this forum is high on the list with so many generous and very experienced afibbers here that constantly check in to freely offer from their own mostly prior AFIB history, and share invaluable pearls of insight and hard-earned wisdom on how so mby Shannon - AFIBBERS FORUM
Your Femoral vein access for the ablation catheter, Lasso mapping catheter in the right femoral vein groin access ... and in some cases the ICE intracardiac-echocardiography camera, if used, will be inserted in the left femoral vein at the left groin area. Assuming you are fortunate enough to have chosen an EP who uses ICE in each of their AFIB ablations... then the access of all of these catheteby Shannon - AFIBBERS FORUM
Yes Elizabeth, Aspirin in no longer recommended for AFIB-related or any stroke prevention outside of having had an MI heart attack to help prevent a second MI (to a modest degree), but the risk of bleeding, especially GI Bleeds on aspirin long term are not worth the risk based on a collection of far better, larger and longer term studies over the last 5 to 7 years that have confirmed taking anby Shannon - AFIBBERS FORUM
Ive had a Mag sulfate infusion with 12 of my 16 ECV and only two of those where pre-ordered by the ER doc at Queens Medical Center in Honolulu where I was a regular during the 14 months from the time my LAA trigger that we all knew I would have to have my second ablation to finish isolating the LAA that Dr Natale was unable to finish during my index ablation, once this LAA tachycardia began actinby Shannon - AFIBBERS FORUM
Mike will do just fine, We;ve had a number pf good conversations over the last months since the late summer and he is ready to go! As I told Mike too that with folks who have had an index procedure and then been golden with outstanding one and done type success for 10+ years and then recurrence happens, Dr Natale has found that a larger percentage have drivers from the LAA ( left atrial appendby Shannon - AFIBBERS FORUM
Sounds good McHale, I'm expecting a call when you wake up Shannonby Shannon - AFIBBERS FORUM
Most ER docs who have been trained in the last 15 years or so, and many older ones who keep up, will often include hanging a bag of saline with 2 grams of Magnesium Sulfate inside to drip an in IV over 30 minutes either before an ECV ... (and then in those cases where the person converts to NSR with the magnesium sulfate that does the trick) .. but often the Mag Sulfate is used as a preloading doby Shannon - AFIBBERS FORUM
No worries Travis and Ken, I got you covered :-)... There are some excellent ablationist out there and some that have been trained by Dr Natale as well, but Dr Natale is still a young 55 years old and has no plans to retire anytime soon. Pioneering the field of AFIB treatment and ablation is a genuine deep passion for Dr Natale. Ive never seen anything quite like it. He is fully dedicated tby Shannon - AFIBBERS FORUM
You are welcome gmperf, more on the topic in next few days. Also send me your cell number again, and I'll try to call in next couple of days to discuss your specific situation as things stand as of now and for the foreseeable near future. I agree, with your pilots license issue having a solid mechanical solution on board may well be preferable longer term in your case. Shannonby Shannon - AFIBBERS FORUM
George and gmperf, The issue about LAA emptying velocity when in AFIB versus after an LAA isolation, is comparable. Of course, there are individual variations in flow velocities both when in AFIB and after an LAA isolation as seen in the roughly 35% to 40% of LAA isolation patients from our group, all of which are from Natale's LAA-isolation patients list, who maintain robust enough LAA mby Shannon - AFIBBERS FORUM
Also Gill last weekend Saturday November 5 thorough mid day Monday November 7 we had a glitch that made it not possible to access the forum during that time. I trust that issue has been corrected as assured by our Internet Service Provider tech support and we have been back in business since. Shannonby Shannon - AFIBBERS FORUM
Also, Ron M sent me his Alivecor EKG that he had had interpreted by a cardiac tech for a smaller charge ( and who read it correctly saying that he only showed sinus PACs) and he send the same EKG strip to a full Cardiologist working for ALivecor and paid a good deal more money for his intrepretion which he got wrong saying it looke like AFIB. Indeed, I could see it was just a few scattered PACby Shannon - AFIBBERS FORUM
Peter, Just a quick note, Dr Natale just cautions Afibbers not to do very heavy bench and overhead presses above body weight ... The vast majority of folks can still engage in highly strenuous and effective exercise programs, and stay in excellent shape, after an expert ablation process. He means the caution mainly for extreme body-builder type weight lifters and is from his frequent observby Shannon - AFIBBERS FORUM
Hi JoyWin, I think you misheard Dr Dibiase ... for the right patient he may use Amiodarone in temporary circumstances as he noted. but it is not Dr DiBiase's overall drug of choice. Only when an EP has the right patient for the AMIO and needs the gold standard of AAR drug therapy will most expert EPs even use AMIO and in most cases only for as short a period as is necessary. And always aby Shannon - AFIBBERS FORUM
The main issue I have with the article, as not uncommon with the author, is he is looking mostly in the rear view mirror at early data and not accounting for the progress made in the last two years, nor does the article factor in that the for Watchman periprocedural risk associated with Watchman implant and following couple of months has lessened considerably with improved installation methods.by Shannon - AFIBBERS FORUM
You are welcome Ken, Jackie, George and all. Oliver handled the forum updates and move from afibbers.net to its new home afibbers.org which we will be consolidating the full website under that URL when we merge the now 3 URLs ( afibbers.org, .net and .com) together just prior to launching the website redesign. Cheers! Shannonby Shannon - AFIBBERS FORUM
Just a Heads up Wolfpack to be careful of reading too fine a point into ALivecor single lead EKG strips. Its a handy tool for sure for on the Fly AFIB detection, but it doesn't provide the finer degree of resolution that a gold standard 12 lead EKG does, and very often added noise and artifacts found in the single-lead Alivecor (now called Kardia)by Shannon - AFIBBERS FORUM